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v1.0.0
ICD-10 Guide
ICD-10 CodesR68.81

R68.81

Early satiety

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R68.81 is a billable code used to indicate a diagnosis of early satiety.

Key Diagnostic Point:

Early satiety is a clinical symptom characterized by a feeling of fullness after consuming only a small amount of food. This condition can significantly impact a patient's nutritional intake and quality of life. It may arise from various underlying causes, including gastrointestinal disorders such as gastroparesis, peptic ulcer disease, or malignancies affecting the stomach. Patients may report a sensation of fullness, bloating, or discomfort shortly after starting a meal. Early satiety can also be associated with psychological conditions such as anxiety or depression, which may affect appetite and eating behaviors. The symptom can lead to unintended weight loss and nutritional deficiencies if not addressed. Clinicians must evaluate the patient's history, perform a physical examination, and consider diagnostic tests to identify the underlying cause. This may include imaging studies, endoscopy, or laboratory tests to rule out other conditions. Accurate documentation of the symptom's onset, duration, and associated factors is crucial for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with other gastrointestinal symptoms
  • Need for thorough documentation of patient history
  • Potential for misdiagnosis with similar symptoms

Audit Risk Factors

  • Inadequate documentation of symptom severity and duration
  • Failure to identify and document underlying causes
  • Misuse of the code in the absence of clear clinical evidence
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including onset, duration, and associated symptoms; results of any diagnostic tests performed.

Common Clinical Scenarios

Patients presenting with unexplained weight loss, bloating, or discomfort after meals.

Billing Considerations

Consideration of comorbid conditions that may contribute to early satiety, such as diabetes or gastrointestinal disorders.

Emergency Medicine

Documentation Requirements

Acute assessment of symptoms, including vital signs and any immediate interventions; documentation of any acute findings.

Common Clinical Scenarios

Patients presenting with acute abdominal pain and early satiety, requiring rapid evaluation.

Billing Considerations

Need for quick differentiation from more serious conditions such as bowel obstruction or perforation.

Coding Guidelines

Inclusion Criteria

Use R68.81 When
  • According to ICD
  • 10 coding guidelines, R68
  • 81 should be used when early satiety is the primary symptom and not attributed to a more specific diagnosis
  • Coders should ensure that the symptom is documented clearly in the medical record

Exclusion Criteria

Do NOT use R68.81 When
No specific exclusions found.

Related CPT Codes

43235CPT Code

Esophagogastroduodenoscopy (EGD)

Clinical Scenario

Used when evaluating patients with early satiety for potential structural abnormalities.

Documentation Requirements

Indication for the procedure, findings, and any interventions performed.

Specialty Considerations

Gastroenterology specialists may perform this procedure to assess for underlying causes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like early satiety, improving the ability to capture the complexity of patient presentations and their underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like early satiety, improving the ability to capture the complexity of patient presentations and their underlying causes.

Reimbursement & Billing Impact

impact on the patient's health, and any diagnostic evaluations performed. Providers should ensure that all relevant information is included in the medical record to support the diagnosis.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is early satiety?

Early satiety is a symptom where a person feels full after eating only a small amount of food, which can lead to nutritional deficiencies and weight loss.

What are common causes of early satiety?

Common causes include gastrointestinal disorders like gastroparesis, peptic ulcers, malignancies, and psychological conditions such as anxiety and depression.

How is early satiety diagnosed?

Diagnosis involves a thorough patient history, physical examination, and may include imaging studies or endoscopy to identify underlying causes.